Organization
CENTER FOR COGNITIVE & BEHAVIORAL CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDELLE HETHER-GRAY LMHC (DIRECTOR)
(347) 509-7127
Entity
Organization
Contact information
Practice address
247 PROSPECT AVE STE 4H, BROOKLYN, NY 11215-8403
(347) 509-7127
(347) 391-0191
Mailing address
247 PROSPECT AVE STE 4H, BROOKLYN, NY 11215-8403
(347) 509-7127
(347) 391-0191
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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